dc.contributor.author | Elkan, R. | |
dc.contributor.author | Kendrick, D. | |
dc.contributor.author | Dewey, M. | |
dc.contributor.author | Hewitt, M. | |
dc.contributor.author | Robinson, J. | |
dc.contributor.author | Blair, M. | |
dc.contributor.author | Brummell, K. | |
dc.date.accessioned | 2018-01-17T11:12:33Z | |
dc.date.available | 2018-01-17T11:12:33Z | |
dc.date.issued | 2001 | |
dc.identifier.citation | Elkan, R., Kendrick, D., Dewey, M., Hewitt, M., Robinson, J., Blair, M., . . . Brummell, K. (2001) Effectiveness Of Home Based Support For Older People: Systematic Review And Meta-Analysis. BMJ: British Medical Journal, 323(7315), 719-724. | nb_NO |
dc.identifier.uri | http://hdl.handle.net/11250/2477917 | |
dc.description.abstract | OBJECTIVE: To evaluate the effectiveness of home visiting programmes that offer health promotion and preventive care to older people. DESIGN: Systematic review and meta-analysis of 15 studies of home visiting. PARTICIPANTS: older people living at home, including frail older people at risk of adverse outcomes. OUTCOME MEASURES: Mortality, admission to hospital, admission to institutional care, functional status, health status. RESULTS: Home visiting was associated with a significant reduction in mortality. The pooled odds ratio for eight studies that assessed mortality in members of the general elderly population was 0.76 (95% confidence interval 0.64 to 0.89). Five studies of home visiting to frail older people who were at risk of adverse outcomes also showed a significant reduction in mortality (0.72; 0.54 to 0.97). Home visiting was associated with a significant reduction in admissions to long term institutional care in members of the general elderly population (0.65; 0.46 to 0.91). For three studies of home visiting to frail, "at risk" older people, the pooled odds ratio was 0.55 (0.35 to 0.88). Meta-analysis of six studies of home visiting to members of the general elderly population showed no significant reduction in admissions to hospital (odds ratio 0.95; 0.80 to 1.09). Three studies showed no significant effect on health (standardised effect size 0.06; -0.07 to 0.18). Four studies showed no effect on activities of daily living (0.05; -0.07 to 0.17). CONCLUSION: Home visits to older people can reduce mortality and admission to long term institutional care. | nb_NO |
dc.publisher | BMJ | nb_NO |
dc.subject | home visiting programmes | nb_NO |
dc.subject | health promotion | nb_NO |
dc.subject | preventive care | nb_NO |
dc.subject | mortality | nb_NO |
dc.title | Effectiveness Of Home Based Support For Older People: Systematic Review And Meta-Analysis | nb_NO |
dc.type | Journal article | nb_NO |
dc.source.pagenumber | 719-724 | nb_NO |
dc.source.volume | 323 | nb_NO |
dc.source.journal | BMJ | nb_NO |
dc.source.issue | 7315 | nb_NO |
dc.identifier.doi | https://doi.org/10.1136/bmj.323.7315.719 | |